Alright, by now everybody and his or her dog has heard the latest about Angelina Jolie, right?
Only a fraction of breast cancers result from an inherited gene mutation. Those with a defect in BRCA1 have a 65 percent risk of getting it, on average.
Once I knew that this was my reality, I decided to be proactive and to minimize the risk as much I could. I made a decision to have a preventive double mastectomy. I started with the breasts, as my risk of breast cancer is higher than my risk of ovarian cancer, and the surgery is more complex.
On April 27, I finished the three months of medical procedures that the mastectomies involved.
Needless to say, this has sparked much online discussion. Here’s a featured item on BlogHer by a woman considering the same decision. Here’s one from a Professor of Pediatrics (is he also a doctor of medicine? probably?) who points out that this sort of surgery comes with risks and without promises of a cancer free life.
And do you know what I don’t see mentioned much? Time and money.
Most of us don’t have the ability to be in and out of surgery and recovery for three months — more if there are any sort of complications. Heck, many of us can’t really afford to take 2 days off from work (or school, or taking care of family…). Ms. Jolie is truly blessed that not only could she free up her busy schedule to do this, but also that her loving husband Mr. Pitt was able to be there by her side, and further that they were able to arrange adequate childcare for their six children — ranging in age from 5 to 12 — during this stressful time.
Another area where Ms. Jolie is truly blessed is money. Many women can’t justify spending the “approximately $3000” to see if she has the 1 in 100 chance of ridiculously higher breast cancer risk. In a time and country where it can be difficult to figure out exactly how much any given hospital service is going to cost, she didn’t have to worry about it. She knew that the money was in the bank. Perhaps she did get her insurance company to pay for it; after all, this has to be cheaper than cancer treatments followed by reconstructive surgery!
Some people simply have more options than others.
In Closing: transparency and accountability, and why big brother won’t work; it wouldn’t be a bad idea to retire these; austerity, unemployment, and job creation (for the record, I am currently not in the workforce and not officially “unemployed,” more on that later in the week); mobility; interesting point; the law of supply and demand (and why we desperately need a public option).